K90.822

Billable

Short bowel syndrome without colon in continuity

HCC Category Mapping

RxHCCHCC 66 — Pancreatic Disease and Disorders

0.000

What This Code Means

A condition where a significant portion of the small intestine has been surgically removed and the colon is not connected, severely limiting nutrient and fluid absorption.

Coding Tips

•Document the surgical history and confirm the colon is not in continuity with remaining bowel
•This code indicates more severe malabsorption than K90.821 due to loss of colonic salvage

Clinical Significance

Short bowel syndrome without colon in continuity represents the most severe form of malabsorption, typically requiring permanent parenteral nutrition. This condition carries the highest morbidity and mortality risk among malabsorption syndromes and requires intensive specialized care.

Documentation Requirements

✓History of extensive small bowel resection
✓Documentation that colon is not in continuity
✓Remaining small bowel length if known
✓Evidence of severe malabsorption
✓Parenteral nutrition requirements
✓Fluid and electrolyte management needs
✓Complications of short bowel syndrome
✓Specialized medical management requirements

Use Additional Code

code, if applicable, for colostomy status (Z93.3)

Commonly Confused Codes

K90.821 — Short bowel syndrome with colon in continuity K90.829 — Unspecified short bowel syndrome when colon status unknown K90.83 — Intestinal failure focuses on function rather than anatomy K91.2 — Postsurgical malabsorption is less specific

Code Hierarchy

└K90Intestinal malabsorption └K90.8Other intestinal malabsorption └K90.82Short bowel syndrome └K90.822Short bowel syndrome without colon in continuity

└K90.822Short bowel syndrome without colon in continuity